Summary of Proposed Changes to SUDORS Data Elements

Attachment F-SUDORS Cross Table Changes
Form	Previous Questions/Items	Updated Questions/Items
Case classification section	1. SUDORSCase	Establish separate section Retain original field 1. SUDORSCase Add new field: auto-populating 2. CaseClassification (options: SUDORS-opioid, SUDORS-non-opioid, SUDORS-drugs not specified, non-SUDORS) Add new field: checkbox 3. NoCMEReportAvailable
Drug Overdose/Poisoning section	1. TypeOfPoisoning: Overdose related to substance abuse; Victim unintentionally takes a drug or wrong dosage; Overmedication; Took prescribed dosage; Other, please add information to narrative; Unknown 2. LastSeenAliveTime: military time format (e.g., 0000-2359) 3. LastSeenAliveMonth: 2-digit month number 4. LastSeenAliveDay: 2-digit day number 5. LastSeenAliveYear: 4-digit year	Retain original fields 1. TypeOfPoisoning: Overdose related to substance abuse; Victim unintentionally takes a drug or wrong dosage; Overmedication; Took prescribed dosage; Other, please add information to narrative; Unknown 2. LastSeenAliveTime: military time format (e.g., 0000-2359) 3. LastSeenAliveMonth: 2-digit month number 4. LastSeenAliveDay: 2-digit day number 5. LastSeenAliveYear: 4-digit year Add new fields: date/time 6. Time_unresponsive: military time format (e.g., 0000-2359) 7. Month_unresponsive: 2-digit month number 8. Day_unresponsive: 2-digit day number 9. Year_unresponsive: 4-digit year
Substance Use/Misuse and Treatment section	1. PreviousOverdose: No previous overdose reported; Previous OD within the last month; Previous OD occurred between a month and a year ago; Previous OD occurred more than a year ago; Previous OD, timing unknown 2. TreatForSubstanceAbuse: No treatment; Current treatment; No current treatment but treated in the past 3. HistoryOpioid: None; Current or past abuse of prescription opioids; Current or past abuse of heroin; Current or past abuse of both prescription opioids and heroin; History of substance abuse noted, specific substances unknown 4. RecentOpioidUse: No evidence; Relapse occurred <2 weeks of overdose; Relapse occurred >2 weeks and <3 months; Relapse mentioned, timing unclear 5. RecentED: -No evidence of ED visit within last year before death; ED visit within the last month before; ED visit between one and three months before death; ED visit between three and six months before death; ED visit between six months and one year before death; Recent ED visit noted, timing unknown 6. Inpatient/outpatientRehabilitation 7. MedicationAssistedTreatment(WithCognitive/BehavioralTherapy) 8. MedicationAssistedTreatment(WithoutCognitive/BehavioralTherapy) 9. MedicationAssistedTreatment(Cognitive/BehavioralTherapyUnknown) 10. Cognitive/BehavioralTherapy 11. NarcoticsAnonymous 12. OtherSubstanceAbuseTreatment 13. OtherSubstanceAbuseTreatment-specify	Retain original fields 1, 2, 4 to 13 Drop one field 3. HistoryOpioid Add new fields: checkbox 14. Overdose0to2DaysPrior 15. Overdose3to7DaysPrior 16. HxDrugNoEvidence 17. HxHeroin 18. HxRxOpioid 19. HxAnyOpioid 20. HxFentanyl 21. HxCocaine 22. HxMeth 23 HxBenzo 24. HxCannabis 25. HxUnspecified 26. HxOther 27. HxOtherDescript 28. InvoleCriminalJustice
Scene Indications of Drug Use section	Checkbox fields (unless otherwise specified) 1b. NoEvidenceDrugUse 2. UnknownRouteDrugAdministration 3. EvidenceInjection 3a. HasEvidenceOfTrackMarks 3b. HasEvidenceOfInjectionTourniquet 3c. HasEvidenceOfInjectionCooker 3d. HasEvidenceOfInjectionOther 3e. HasEvidenceOfInjectionNeedle 3f. HasEvidenceOfInjectionFilter 3g. HasEvidenceOfInjectionWitnessReport 4. HasRapidOverdoseEvidence 4a. IsTourniquetAroundArm 4b. NeedleLocation: No evidence, Needle inserted, Needle in hand, Needle close to body 4c. RapidOverdoseWitnessReport 4d. RapidOverdoseOther 4e. BodyPosition 5. HasEvidenceOfSnortingSniffing 6. HasEvidenceOfSmoking 7. HasEvidenceOfTransdermal 8. HasEvidenceOfIngestion 9. HasEvidenceOfSuppository	Retain original fields 1a to 14 Add new fields: checkbox 15. DrugUseEvidence - NOS 5a. SnortingStraw 5b. SnortingRolled 5c. SnortingRazor 5d. SnortingPowderMirror 5e. SnortingPowderNose 5f. SnortingWitness 5g. SnortingOther 5h. SnortingOtherDescript 6a. SmokingPipe 6b. SmokingTinfoil 6c. SmokingVape 6d. SmokingBongBowl 6e. SmokingWitness 6f. SmokingOther 6g. SmokingOtherDescript
	10. HasEvidenceOfSublingual 11a. IsPrescribedToVictim 11b. IsNotPrescribedToVictim 11c. IsUnknownWhoPrescribed 11d. IsPrescriptionPill 11e. IsPrescriptionBottle 11f. IsPrescriptionLozenge 11g. HasEvidenceOfWitnessReportRxUse 11h. IsPrescriptionOther 11i. IsPrescriptionPatch 11j. IsPrescriptionLiquid 11k. IsPrescriptionVial 12. HasEvidenceOfIllicitDrugs 12a. HasEvidenceOfIllicitPowder 12b. HasEvidenceOfIllicitWitnessReport 12c. IsPrescriptionCounterfeit 12d. HasEvidenceOfIllicitTar 12e. HasEvidenceOfIllicitCrystal 12f. IndicationsOther 12g. HasEvidenceOfIllicitPackage 13. HasRouteBuccal 14. IsPrescriptionFentanyl
Response to Drug Overdose section	1. BystandersPresent:drop down 1a. BystanderUser 1b. BystanderPartner 1c. BystanderFamily 1d. BystanderFriend 1e. BystanderStranger 1f. BystanderRoomate 1g. BystanderMedical 1h. BystanderOther 2. WitnessedDrugUse: No; Yes; Unknown 3a. BystanderCPR 3b. BystanderBreathing 3c. BystanderSternal 3d. BystanderStim 3e. BystanderIntOther 4. NaloxoneAdministered: checkbox 5. IsNaloxoneNotAdmin: check box 6. IsNaloxoneUnknown: check box 7. NaloxoneTotalResponder: check box 8. NaloxoneTotalBystander: check box 9. IsNaloxoneAdminLaw: check box 10. IsNaloxoneAdminEms: check box 11. IsNaloxoneAdminHospital: check box 12. IsNaloxoneAdminOther: check box 13. IsNaloxoneAdminBystander: check box	Retain original fields 1 to 31
	14. IsNaloxoneWhoPerson: check box 15. IsNaloxoneWhoPartner: check box 16. IsNaloxoneWhoStranger: check box 17. IsNaloxoneWhoOther: check box 18. IsNaloxoneWhoFriend: check box 19. IsNaloxoneWhoRoommate: check box 20. IsNaloxoneWhoOtherFamily: check box 21a. MedHx_COPD 22b. MedHx_Asthma 22c. MedHx_Apnea 22d. MedHx_Heart 22e. MedHx_Obesity 22f. MedHx_HepC 22g. MedHx_HIV 22h. MedHx_Injury 22i. MedHx_Migraine 22j. MedHx_BackPain 22k. MedHx_OtherPain 22l. MedHx_OtherBreathing 23. BystanderNotRecognize 24. BystanderUsing 25. BystanderPublic 26. BystanderNoOD 27. BystanderSeparated 28. BystanderUnaware 29. BystanderReasonOther
	30a. FirstResponderCPR 30b. FirstResponderBreathing 30c. FirstResponderEpinephrine 30d. FirstResponderED 30e. FirstResponderOxygen 30f. FirstResponderOther 30. PresenceOfPulseOnArrival: Victim had pulse, victim did not have pulse, unknown whether victim had pulse
Prescription information section	1. PrescriptionMorphine: None; Evidence of morphine prescription dispensed within last 30 days; Prescription morphine found at the scene (vials or tablets); Both prescription and scene evidence of morphine prescription; Other evidence (include in narrative) 2. MorphineNarrative: open-text field 3. IndicationsBuprenorphine: check box for prescribed buprenorphine/methadone [replaces equivalent field that was previously in the Scene Indications of Drug Use section] 4. FentanylRx 5. NumScripsPast30Days: open numeric field 6. NumPharmaciesPast30Days: open numeric field 7. NumDoctorsPrescribing30Days: open numeric field	Retain original fields 1. PrescriptionMorphine: None; Evidence of morphine prescription dispensed within last 30 days; Prescription morphine found at the scene (vials or tablets); Both prescription and scene evidence of morphine prescription; Other evidence (include in narrative) 2. MorphineNarrative: open-text field 4. FentanylRx 5. NumScripsPast30Days: open numeric field 6. NumPharmaciesPast30Days: open numeric field 7. NumDoctorsPrescribing30Days: open numeric field Drop one field (replaced by others below) 3. IndicationsBuprenorphine Add new fields: checkbox 8. RxBuprenorphine 9. RxBuprenorphine_pain 10. RxBuprenorphine_MAT 11. RxBuprenorphine_unknown 12. RxMethadone 13. RxMethadone_pain 14. RxMethadone_MAT 15. RxMethadone_unknown 16. RxNaltrexone